{% extends 'layouts/public_base.html' %} {% load i18n %} {% block title %}{% trans "Submit Complaint" %} - PX360{% endblock %} {% block extra_css %} {% endblock %} {% block content %}
{% trans "We're sorry to hear about your experience. Please select the hospital where the incident occurred." %}
{% trans "Patient" %}
{{ patient.get_full_name }}